Did you have any trouble with reimbursement for fitness and wellness interventions to assist the child in participating in wrestling?
Answer
I think it all comes down to how things were worded. When we were targeting wrestling, this was what the child targeted as his ultimate goal. It might be kind of similar to an adult who has had a total joint replacement who wants to get back to golfing. We identified that as the child's goal, the components of that, and were able to show some progress towards that. In terms of reimbursement specifically for fitness and wellness without the existence of other impairments, I have not been in a practice setting where that was permissible. I incorporate things into my regular care plan. Part of my week, each week, I spend in direct care in an outpatient setting. Even for my children who are not independently ambulatory with CP, I incorporate some of these concepts with them, looking at agility, looking at their anaerobic function. Just anecdotally, again I do not have the evidence to support it, but I am seeing some improvements in my children in terms of their function and their ability to sustain activity.
Lisa Kenyon, PT, DPT, PhD, PCS
Dr. Kenyon is an Associate Professor in the Department of Physical Therapy at Grand Valley State University in Grand Rapids, Michigan. Dr. Kenyon heads the Grand Valley Power Mobility Project, an inter-professional research, and service project that provides power mobility training for children and young adults who are not typically considered to be candidates for power mobility use. Dr. Kenyon presents nationally and internationally on topics related to pediatric physical therapist practice and has published multiple journal articles and book chapters pertaining to topics in pediatrics. Dr. Kenyon currently serves on the Committee of Content Experts for the Pediatric Specialty Council of the American Board of Physical Therapy Specialties.
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